Overview

A number of hospital systems choose to consolidate their billing for two or more separate facilities under one central facility.

What does this mean for claims?  It means that all claims are submitted through the central facility as if they occurred there; what this means for Carevoyance (which works off of claims) is that we can't tell which procedures and diagnoses came from the central facility and which came from the other facility or facilities.

This also means it may appear that some facilities are “missing” from Carevoyance - or at least under-counting procedures - as a result. The root cause is consolidated billing. The procedures happened but were billed under a different facility as a matter of practice.

Example

For example, let’s look at AdventHealth Orlando. We can see from AHD.com that many, many different facilities send their claims through this facility.

Notice that AdventHealth Orlando's CMS number is 100007. If we take a look at one of the facilities consolidated underneath them...

.... we can see that it doesn't have its own CMS number. Hence, it sends us its claims through 100007 (AdventHealth Orlando) and that's the facility they appear under in our system. As a side note, you can search on this number in our system, which I've done to get the result in the search: